The ABC’s of Gay Sex

One form of oral sex is “rimming,” which involves one partner stimulating the anus of another with his mouth or tongue. HIV can’t be transmitted through rimming, but the person whose tongue or mouth comes into contact with another’s anus is at risk of contracting hepatitis A or B or other infections.

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HIV cannot always be isolated in urine, and if it is, HIV concentrations are too small to pose a threat of infection. The HIV risk from drinking urine is negligible. Some conditions contribute to blood being present in a person’s urine, which would contribute to a risk of HIV transmission if your partner was infected.
Urine is fine on the outside of intact skin. If there are any breaks on the outside of the skin, don’t urinate (piss) near the break(s). Remember that a pimple or shaving cut is also a break.
Cytomegalovirus (CMV) is a virus that can be spread through urine. Many people are not adversely affected by infection with CMV. In some cases, CMV infection can lead to a mono-like illness, which usually resolves on its own. Certain groups are at high-risk for more serious CMV-related complications like immunocompromised people, such as organ transplant recipients and the HIV infected.
Other infections of the urogenital tract (i.e., the pipe the urine comes down) may pose a risk of infection when you get urine in your body. Microorganisms in the urethra (e.g. those causing gonorrhea, chlamydia or herpes) or others that may be in genital fluid (like hepatitis/urinary tract infection) could be carried out by urine and into your body, even if your sex partner has no symptoms. Mucosal contact, (the lining of the mouth or rectum) with these organisms may result in infection.
“Piss fucking” (a ‘piss douche’) may pass on bugs if using the urine of someone with infected urine. Urinating into someone’s anus can be risky, including for HIV as it involves a penis inside someone without a condom. If the penis belongs to a poz “top” man, then infected pre-cum or cum might leak into the “bottom’s” anus. If the top is negative but the bottom’ has HIV, the top’s penis might come into contact with HIV-infected blood or anal mucus in the lining of the bottom’s anus.
If you are an HIV-infected person, it is important to avoid any possible infections that may compromise your health and facilitate disease progression. If you don’t know if you are HIV positive or not, then you need to test so that you know your status at your sexual health clinic, doctor’s office or other facility.